ADGM · Adagio Medical Holdings, Inc. · Holdings
Substantial doubt about the company's ability to continue as a going concern.
“As of the report date, we do not believe our existing cash and cash equivalents are sufficient to fund our operating and capital expenditure requirements for at least 12 months from the date of issuance of the audited consolidated financial statements included in this Report. Based on our current research and development plans, we expect to have sufficient resources to fund our planned operations into the fourth quarter of 2026. We have based this estimate on assumptions that may prove to be wrong, and we could exhaust our capital resources sooner than expected. No assurance can be given as to whether additional needed financing will be available on terms acceptable to us, if at all. If sufficient funds on acceptable terms are not available when needed, we may be required to suspend or forego certain planned activities. Failure to manage discretionary spending or raise additional financing, as needed, could adversely impact our ability to achieve our intended business objectives and may have an adverse effect on our results of operations and future prospects. These factors raise substantial doubt about our ability to continue as a going concern for the twelve-month period from the date of this filing with the SEC.”View the 10-Q filed Aug 11, 2026
Institutional ownership from SEC Form 13F filings. Investment managers with more than $100 million in U.S. equities must disclose their positions every quarter, within 45 days of quarter-end, so the holdings shown can lag the market by up to a quarter.
Institutional Ownership Trend
Holder Concentration
Across 24 13F filers · Δ vs Mar 31, 2026Who Holds ADGM
Last 8 quarters through Jun 30, 2026Each kind of 13F filer's share of the common shares 13F filers report. Holder type comes from regulatory records, never the filer's name; style, turnover and horizon are measured from each filer's own 13F book. The quarter selector does not change this card.
Jun 30, 2026: 24 filers, like-for-like change -3.7%; actively managed books -4.0%; index-like books +13.5%.
| Holder type | Share | Filers | Change |
|---|---|---|---|
| Registered adviser | 94.2% | 12 | -0.2% |
| Adviser | 4.6% | 1 | -45.8% |
| Bank | 0.6% | 6 | +37.3% |
| Holding company | 0.0% | 1 | 0.0% |
| Non-US | 0.0% | 0 | — |
| Broker-dealer | 0.0% | 0 | — |
| Unknown | 0.6% | 4 | +16.1% |
| Style | Share | Filers | Change |
|---|---|---|---|
| Index-like | 1.8% | 5 | +13.5% |
| Systematic-like | 8.0% | 4 | +1.3% |
| Concentrated | 0.1% | 2 | 0.0% |
| Diversified active | 90.1% | 13 | -4.5% |
| Not measured | 0.0% | 0 | — |
| Unknown | 0.0% | 0 | — |
| Turnover | Share | Filers | Change |
|---|---|---|---|
| Low turnover | 0.8% | 5 | -24.3% |
| Medium turnover | 84.3% | 10 | -0.4% |
| High turnover | 13.8% | 7 | -21.2% |
| Unknown | 1.1% | 2 | +74.3% |
| Not measured | 0.0% | 0 | — |
| Holding horizon | Share | Filers | Change |
|---|---|---|---|
| Short horizon | 7.0% | 5 | -33.3% |
| Medium horizon | 10.0% | 3 | -1.8% |
| Long horizon | 9.6% | 12 | -3.1% |
| Unknown | 73.4% | 4 | +0.1% |
| Not measured | 0.0% | 0 | — |
| 13F book size | Share | Filers | Change |
|---|---|---|---|
| Under $1B | 7.3% | 4 | -36.0% |
| $1B to $10B | 74.3% | 6 | -0.2% |
| $10B to $100B | 16.3% | 4 | -0.1% |
| $100B or more | 2.1% | 10 | +24.3% |
| Not measured | 0.0% | 0 | — |
| Client base | Share | Filers | Change |
|---|---|---|---|
| Individuals and high net worth | 0.0% | 1 | -98.2% |
| Pooled investment vehicles | 92.9% | 9 | -0.2% |
| Registered funds and BDCs | 1.2% | 2 | +14.1% |
| Unknown | 5.8% | 12 | -38.8% |
| Private funds | Share | Filers | Change |
|---|---|---|---|
| Hedge funds | 92.9% | 9 | -0.4% |
| Venture capital funds | 0.0% | 1 | 0.0% |
| No private funds | 1.2% | 2 | +14.1% |
| Unknown | 5.8% | 12 | -38.8% |
| Location | Share | Filers | Change |
|---|---|---|---|
| United States | 99.7% | 20 | -3.7% |
| Outside the US | 0.3% | 4 | -6.0% |
How the mix is measured
Shares are 13F common shares restated to today's split basis; options and principal amounts are left out. The change compares only filers with a 13F in both quarters and keeps each filer in its bucket of the later quarter on both sides; a filer that continues under a new CIK is compared through its successor. Holder type comes from each filer's current regulatory profile; client base and private funds come from the Form ADV roster current at each quarter end (rosters from December 2019, so an earlier quarter reads Unknown). Style, turnover, horizon and book size are measured from each filer's 13F book in the newest measured quarter, and Not measured means none was. Actively managed books are those measured systematic-like, concentrated or diversified active.
Conviction and Crowding
24 13F filers, quarter ended Jun 30, 2026Measured across every 13F filer's common-share book once the quarter's filing window closed. Crowding counts filers with high turnover or that advise private funds on Form ADV.
Managers in the top fifth by current three-year FundScore alpha were net buyers of $0 (0 buying, 0 selling).
Estimated Holder Cost Basis
Quarter ended Jun 30, 2026, on that quarter's share basisEstimated, never filed: each 13F buy is costed at its quarter's average traded price and each sale keeps the average cost, so this is what holders paid on average if they traded evenly through each quarter.
Estimated cost covers 98.8% of the 13F shares; positions already held when a filer's 13F history starts, or bought in a quarter without a trusted average price, have no estimate.
Shared Holders
Companies ADGM's active holders also own, quarter ended Jun 30, 2026| # | Company | Shared holders |
|---|---|---|
| 1 | IBIO iBio, Inc. | 3 |
| 2 | RACC Research Alliance Corp III | 3 |
| 3 | CBIO Crescent Biopharma, Inc. | 3 |
| 4 | OVID Ovid Therapeutics Inc. | 3 |
| 5 | HLXC Helix Acquisition Corp. III | 3 |
| 6 | AVR Anteris Technologies Global Corp. | 3 |
| 7 | SION Sionna Therapeutics, Inc. | 3 |
| 8 | IMVT Immunovant, Inc. | 3 |
| 9 | ORKA Oruka Therapeutics, Inc. | 4 |
| 10 | SVRA Savara Inc | 3 |
Shareholder Targets
13F filers that own its peers but not ADGM, quarter ended Jun 30, 2026Found through its holder-overlap peers: IBIO, RACC, CBIO, OVID, HLXC, AVR, SION, IMVT, ORKA, SVRA, AVTX, PTGX, RYTM, CELC, TRVI, PRAX, SYRE, DNTH, COGT, QURE. 872 filers in all.
| # | Filer | In peers | Largest peers |
|---|---|---|---|
| 1 | BlackRock, Inc. Holding company, Index-like | $6,059,594,853 18 held | PTGX, PRAX, RYTM |
| 2 | FMR LLC Holding company, Diversified active | $6,007,266,368 18 held | SYRE, COGT, ORKA |
| 3 | STATE STREET CORP Bank, Index-like | $2,817,153,603 18 held | PTGX, PRAX, RYTM |
| 4 | BAKER BROS. ADVISORS LP Registered adviser, Concentrated | $2,357,617,036 7 held | CELC, RYTM, PRAX |
| 5 | Jupiter Topco LLC Unknown, Diversified active | $2,182,006,864 15 held | PRAX, PTGX, COGT |
| 6 | VANGUARD PORTFOLIO MANAGEMENT LLC Registered adviser, Diversified active | $2,126,041,119 17 held | PRAX, PTGX, RYTM |
| 7 | RTW INVESTMENTS, LP Registered adviser, Diversified active | $2,106,535,159 11 held | PTGX, SYRE, CELC |
| 8 | PRICE T ROWE ASSOCIATES INC /MD/ Registered adviser, Diversified active | $1,865,164,247 17 held | PRAX, RYTM, PTGX |
| 9 | RA CAPITAL MANAGEMENT, L.P. Registered adviser, Concentrated | $1,413,470,440 7 held | RYTM, SION, ORKA |
| 10 | WELLINGTON MANAGEMENT GROUP LLP Holding company, Diversified active | $1,372,762,040 15 held | PTGX, DNTH, COGT |
Fund Ownership of ADGM by Fund Type
Registered funds' Form N-PORT reports for the quarter ended Jun 30, 2026Index funds and index ETFs hold 0.86% of shares outstanding.
| Fund type | Of shares outstanding | Shares |
|---|---|---|
| Index funds | 0.37% | 82,805 |
| Index ETFs | 0.49% | 108,954 |
| Active ETFs | 0.00% | 0 |
| Active funds | 0.00% | 0 |
| Unclassified | 0.00% | 0 |
| All registered funds | 0.86% | 191,759 |
How fund types are measured
Each fund series counts once, with its latest Form N-PORT report dated inside the quarter; only long share positions count, restated to today's split basis. The fund type is the series' latest Form N-CEN answer on or before the quarter end (the index-fund box and the exchange-traded flag), never its name. Unclassified funds have no usable N-CEN; unit investment trusts are among them, so index ownership is a floor. Funds sit inside their advisers' 13F reports, so these shares overlap the 13F figures and are never added to them.
Quarterly Activity
New and Sold Out count only filers that reported a 13F for both quarters: a first-time filer's book is not a buy, and a fund that has not filed, or withheld its positions under confidential treatment, has not sold.
Top Buyers
vs Mar 31, 2026| Institution | Added | Now Holds | Open |
|---|---|---|---|
| Mega VANGUARD CAPITAL MANAGEMENT LLC | +69,346 | 108,954 | |
| Mega CITIGROUP INC | +13,254 | 13,255 | |
| Mega NORTHERN TRUST CORP | +9,277 | 30,875 | |
| Mid Tower Research Capital LLC (TRC) | +4,252 | 6,454 | |
| Mid PERCEPTIVE ADVISORS LLC | +10 | 9,876,586 |
Top Sellers
vs Mar 31, 2026| Institution | Sold | Now Holds | Open |
|---|---|---|---|
| Small Sio Capital Management, LLC | −589,472 | 698,989 | |
| Mega GEODE CAPITAL MANAGEMENT, LLC | −46,126 | 79,115 | |
| Small SILVERARC CAPITAL MANAGEMENT, LLC | −27,612 | 224,360 | |
| Mid XTX Topco Ltd | −5,197 | 18,153 | |
| Mega BANK OF AMERICA CORP /DE/ | −1,326 | 11,531 |
Top New Positions
vs Mar 31, 2026| Institution | Acquired | Value (USD) | Open |
|---|---|---|---|
| Mega CITADEL ADVISORS LLC | 16,155 | $10,533 | |
| Mega UBS Group AG | 2,268 | $1,478 | |
| Mega BARCLAYS PLC | 23 | $14 | |
| Large HRT FINANCIAL LP | 13,705 | $8 |
Top Sold-Out Positions
vs Mar 31, 2026| Institution | Previously Held | Last Value (USD) | Open |
|---|---|---|---|
| Mid Granite Investment Partners, LLC | 27,053 | $31,110 | |
| Large RENAISSANCE TECHNOLOGIES LLC | 16,557 | $19,040 | |
| Mega JPMORGAN CHASE & CO | 975 | $1,121 |
| Holder | Value (USD) | % of 13F | Shares | Type | Filed | Open |
|---|---|---|---|---|---|---|
| Mid PERCEPTIVE ADVISORS LLC Registered adviser | $6,439,534 | 65.58% | 9,876,586 | Shares | 2026-08-14 | |
| Large ADAGE CAPITAL PARTNERS GP, L.L.C. Registered adviser | $820,542 | 8.36% | 1,258,501 | Shares | 2026-08-14 | |
| Mid ADAR1 Capital Management, LLC Registered adviser | $785,951 | 8.00% | 1,205,447 | Shares | 2026-08-14 | |
| Large Alyeska Investment Group, L.P. Registered adviser | $756,068 | 7.70% | 1,159,615 | Shares | 2026-08-14 | |
| Small Sio Capital Management, LLC Adviser | $455,740 | 4.64% | 698,989 | Shares | 2026-08-14 | |
| Small SILVERARC CAPITAL MANAGEMENT, LLC Registered adviser | $146,282 | 1.49% | 224,360 | Shares | 2026-08-13 | |
| Small Shaolin Capital Management LLC Registered adviser | $111,602 | 1.14% | 171,170 | Shares | 2026-08-14 | |
| Mega VANGUARD CAPITAL MANAGEMENT LLC Registered adviser | $71,038 | 0.72% | 108,954 | Shares | 2026-08-13 | |
| Mid Affinity Asset Advisors, LLC Registered adviser | $52,160 | 0.53% | 80,000 | Shares | 2026-08-13 | |
| Mega GEODE CAPITAL MANAGEMENT, LLC Registered adviser | $51,582 | 0.53% | 79,115 | Shares | 2026-08-12 | |
| Mega VANGUARD FIDUCIARY TRUST CO | $35,065 | 0.36% | 53,782 | Shares | 2026-08-13 | |
| Mega NORTHERN TRUST CORP Bank | $20,130 | 0.21% | 30,875 | Shares | 2026-08-13 | |
| Large TORONTO DOMINION BANK Bank | $16,300 | 0.17% | 25,000 | Shares | 2026-08-14 | |
| Mid Opaleye Management Inc. Registered adviser | $12,025 | 0.12% | 18,444 | Shares | 2026-08-14 | |
| Mid XTX Topco Ltd | $11,835 | 0.12% | 18,153 | Shares | 2026-08-14 | |
| Mega CITADEL ADVISORS LLC Registered adviser | $10,533 | 0.11% | 16,155 | Shares | 2026-09-02 | |
| Mega CITIGROUP INC Bank | $8,642 | 0.09% | 13,255 | Shares | 2026-08-03 | |
| Mega BANK OF AMERICA CORP /DE/ Bank | $7,518 | 0.08% | 11,531 | Shares | 2026-08-14 | |
| Mid Tower Research Capital LLC (TRC) | $4,208 | 0.04% | 6,454 | Shares | 2026-08-11 | |
| Mega UBS Group AG Bank | $1,478 | 0.02% | 2,268 | Shares | 2026-08-13 | |
| Small Crewe Advisors LLC Registered adviser | $326 | 0.00% | 500 | Shares | 2026-07-24 | |
| Mega MORGAN STANLEY Holding company | $89 | 0.00% | 137 | Shares | 2026-08-13 | |
| Mega BARCLAYS PLC Bank | $14 | 0.00% | 23 | Shares | 2026-08-14 | |
| Large HRT FINANCIAL LP | $8 | 0.00% | 13,705 | Shares | 2026-08-14 |